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Gema Lingkungan Kesehatan
Published by Polilteknik Kesehatan Kemenkes Surabaya
ISSN : 16933761     EISSN : 24078948     DOI : 10.36568
Core Subject : Health, Science, Social,
Environmental Science Health Professions Immunology & microbiology Public Health
Jurnal GEMA Lingkungan Kesehatan [e-ISSN: 2407-8948 | DOI: 10.36568] is a journal aims to be a leading peer-reviewed platform and an authoritative source of information. We publish original research papers, review articles and case studies focused on environmental health or public health as well as related topics that has neither been published elsewhere in any language, nor is it under review for publication anywhere. This following statement clarifies ethical behavior of all parties involved in the act of publishing an article in this journal, including the author, the editor, the reviewer, and the publisher (Jurusan Kesehatan Lingkungan Poltekkes Kemenkes Surabaya).
Arjuna Subject : Ilmu Lingkungan (semua ketegori) - Kesehatan, Toksikologi dan Mutasi Gen
Articles 226 Documents
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Hospital Disaster Resilience in Indonesia: An Evidence-Based Synthesis of Flood and Earthquake Preparedness Dicky Budiman; Tjahja Nurrobi
Gema Lingkungan Kesehatan Vol. 24 No. 3 (2026): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v24i3.534

Abstract

Indonesia is one of the most disaster-prone countries in the world due to exposure to earthquakes, floods, tsunamis, volcanic eruptions, and climate-related hazards. Hospitals play a critical role in maintaining healthcare delivery during disasters, yet their resilience capacity varies. This study synthesized evidence on hospital disaster resilience in Indonesia, focusing on preparedness for flood and earthquake hazards. An evidence-based descriptive synthesis was conducted using peer-reviewed studies, national reports, policy documents, and international guidance. Findings were analyzed across four resilience domains the Hospital Safety Index: structural and non-structural safety, emergency management systems, continuity of essential services, and governance and policy integration. The review found that improvements in hospital resilience were most evident in governance, disaster management planning, and policy integration, largely driven by accreditation requirements and national disaster risk reduction initiatives. However, structural resilience remains insufficient in many facilities, particularly regarding seismic preparedness and non-structural mitigation measures. Flood preparedness is more advanced than earthquake preparedness because hydrometeorological hazards occur more frequently. Persistent vulnerabilities were identified in continuity of essential services, including electricity, water supply, sanitation systems, and healthcare waste management. Although disaster preparedness plans are increasingly available, operational readiness through emergency exercises remains inconsistent. Overall, hospital disaster resilience in Indonesia remains uneven, characterized by stronger administrative preparedness than infrastructural and functional resilience. Strengthening disaster-safe hospitals requires integrated resilience frameworks, climate-resilient health infrastructure, sustained investment in emergency preparedness, enhanced workforce capacity, and stronger implementation of disaster risk reduction policies across the healthcare system to ensure service continuity during future emergencies and disasters.
Association between Stunting Prevention Behaviors and Quality of Life among Adolescent Girls: A Cross-Sectional Study in Lebak District, Indonesia Omo Sutomo; Siti Rusyanti; Yunita Sari
Gema Lingkungan Kesehatan Vol. 24 No. 3 (2026): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v24i3.487

Abstract

Adolescent girls constitute a strategic group in the prevention of intergenerational stunting through the establishment of healthy lifestyle behaviours from an early age. However, evidence regarding the relationship between stunting prevention behaviours and quality of life remains limited. This study aims to analyse the relationship between stunting prevention behaviours and quality of life among adolescent girls in Lebak Regency, Indonesia. The study employed an observational analytical design using a cross-sectional approach involving 113 adolescent girls selected at random from a senior secondary school. Stunting prevention behaviours were measured using a health behaviour questionnaire, whilst quality of life was assessed based on the dimensions of satisfaction, productivity, independence and social participation. Analysis was performed using Kendall’s tau correlation test. The results showed a statistically significant positive association between stunting prevention behaviour and overall quality of life (r=0.349; p<0.001), as well as across all dimensions of quality of life (r=0.181–0.268; p<0.05), although the strength of the association ranged from weak to moderate. These findings suggest that adolescents with better stunting prevention behaviours tend to have a better quality of life. However, as a cross-sectional design was used in a single school, the study results cannot be used to draw conclusions about a cause-and-effect relationship. A longitudinal study that accounts for confounding factors is required to confirm these findings.
Waste Characterization and Integrated Management Strategy for Small-Island Tourism in Derawan, Indonesia Sufriady Syam; Rabiatul Adawiyah; Nurrizka Indah Sari
Gema Lingkungan Kesehatan Vol. 24 No. 3 (2026): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v24i3.538

Abstract

This study aims to evaluate the waste generation and composition characteristics as a technical basis for designing an Integrated Solid Waste Management (ISWM) strategy on Derawan Island, a small island tourism destination. By applying a quantitative method referring to the SNI 19-3964-1995 standard, data were collected over eight consecutive days from three different sources: households (stratified random sampling), the commercial sector (purposive sampling), and marine debris (transect method). The analysis results showed that total daily waste generation reached 2,810.05 kg/day. The specific generation rate of 1.652 kg/capita/day was far above the national average, indicating a "double burden" phenomenon due to high tourism activity. In terms of composition, the waste stream was dominated by organic material (53.99%), followed by inorganic waste (40.18%) and hazardous waste (5.83%). These findings prove that the conventional "collect-transport-dispose" model is highly vulnerable and uneconomical given the 1.5-hour sea transport distance to the final disposal site on the mainland. Therefore, this characterization data supports a decentralized ISWM framework that prioritizes on-site bioconversion of the organic fraction (e.g., composting and utilization of Local Microorganisms/MOL), complemented by high-value recycling recovery. This baseline data-driven approach can theoretically reduce the final residue that must be transported by sea to only 18.15% of its initial mass, thereby overcoming acute logistical constraints while ensuring environmental sustainability for coral reef-based ecotourism.
Performance Evaluation of Plastic Drum Septic Tanks Equipped with Recycled Nylon Net Biofilters for Domestic Wastewater Treatment in Riverbank Communities Suharno; Asmadi; Susilawati; Taufik Anwar
Gema Lingkungan Kesehatan Vol. 24 No. 3 (2026): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v24i3.562

Abstract

Water pollution caused by the direct discharge of domestic wastewater from toilets into watercourses remains a serious environmental health issue, particularly in riverside settlements with limited access to adequate sanitation facilities. This study aims to evaluate the performance of septic tanks made from plastic drums fitted with biofilters made from used nylon netting in improving the quality of domestic wastewater based on the parameters of Biochemical Oxygen Demand (BOD) and Total Suspended Solids (TSS). The study employed a quasi-experimental design with a post-test only control group design, conducted in the villages of Ambawang Kuala and Kuala Mandor B, Kubu Raya Regency. A total of eight plastic drum septic tanks were used, comprising four treatment units fitted with biofilters made from used nylon netting and four control units without biofilters. Wastewater samples were collected from the septic tank outlets and analysed for BOD and TSS using standard laboratory methods. A total of 64 samples were analysed; the data were then processed descriptively and tested using an independent t-test after meeting the assumptions of normality and homogeneity. The results of the study showed that the mean BOD concentration in the treatment group (5.74 mg/L) was lower than that in the control group (7.79 mg/L), whilst the mean TSS concentration in the treatment group was 3.45 mg/L and in the control group 3.17 mg/L. However, there were no statistically significant differences for either the BOD (p=0.227) or TSS (p=0.883) parameters. These results indicate that the use of biofilters made from used nylon netting tends to enhance the reduction in BOD levels, but has not yet yielded a significant improvement in wastewater quality under the conditions of this study. Therefore, this technology has the potential to be developed as an alternative for a simple, low-cost and environmentally friendly sanitation system; however, it still requires design refinements, longer operational periods and testing on a larger scale to ensure its effectiveness.
Corrigendum: Analysis of Eco-Enzyme Potential to Reduce BOD, COD, Oil and Grease Concentrations in Raw Water for Treated Water in Karawang: A Laboratory Experiment Gina Lova Sari; Wilma Nurrul Adzillah; Kania Ratnawati; Devita Fitria Alam Sari; Saidah Saidah
Gema Lingkungan Kesehatan Vol. 24 No. 3 (2026): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v24i3.576

Abstract

This corrigendum is issued to correct several editorial and typographical errors in the article entitled "Analysis of Eco-Enzyme Potential to Reduce BOD, COD, Oil and Grease Concentrations in Raw Water for Treated Water in Karawang: A Laboratory Experiment", published in Gema Lingkungan Kesehatan, Volume 23, Issue 1, 2025 (DOI: https://doi.org/10.36568/gelinkes.v23i1.148). The corrections include: (1) capitalization and typographical revisions, (2) correction of the technical term "treated", (3) correction of the composition value for Variation D in Table 2 from 2,750.00 : 150.00 to 2,750.00 : 250.00 (Raw Water : Eco-Enzyme), and (4) replacement of several figure and graph labels from Indonesian to English. The correction to Table 2 reflects the actual experimental composition used throughout the study and resulted from a transcription error during the final manuscript preparation. These corrections do not affect the research methodology, experimental procedures, data analysis, results, discussion, scientific interpretation, or conclusions of the published article. This corrigendum is published to ensure the accuracy, clarity, and integrity of the scientific record.
Antibacterial Activity of Langsat Leaf Extract (Lansium domesticum Corr.) against the In Vitro Growth of Staphylococcus aureus Nani Yuningsih; Nurrasyidah Nurrasyidah; Siti Rusyanti
Gema Lingkungan Kesehatan Vol. 24 No. 3 (2026): Gema Lingkungan Kesehatan
Publisher : Poltekkes Kemenkes Surabaya

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.36568/gelinkes.v24i3.434

Abstract

The postpartum period is a phase in which a woman’s reproductive organs return to their pre-pregnancy state, followed by the adaptation phase in maternal and infant care. Breastfeeding can be hindered when the mother experiences breast wounds or pain. One of the most common postpartum infections is mastitis, affecting approximately 9–20% of mothers. This study aims to determine the active compounds in langsat leaves and their inhibitory effects on Staphylococcus aureus bacteria. A true experimental laboratory design with a post-test–only approach was used to assess the significant differences between treatment and control groups, using langsat leaf extract concentrations of 20% and 40%. Phytochemical analysis showed a positive color reaction (+) indicating the presence of flavonoids and saponins. Total flavonoids (anti-inflammatory) measured using spectrophotometry were found to be 0.50% (w/w). Using the gravimetric method, 10 grams of dried extract contained 5.76% moisture. Univariate analysis showed that in the 20% extract group, 2 samples (33.3%) had no inhibition zone (0 mm), while 4 samples (66.7%) produced an inhibition zone of 1–5 mm. Thus, at 20% concentration, langsat leaf extract demonstrated weak antibacterial activity. In the 40% concentration group, 4 samples (66.7%) showed an inhibition zone of 5 mm, and 2 samples (33.3%) showed an inhibition zone of 6–9 mm. These results indicate an increase in antibacterial activity with higher extract concentration. Bivariate analysis using the Kruskal–Wallis test (due to non-normal data distribution) showed a significant difference (p < 0.05) between treatment groups on the inhibition of Staphylococcus bacteria: the 40% extract produced an average inhibition zone of 5.83 mm, while the 20% extract produced 2.33 mm. The negative control showed no antibacterial activity (0 mm). The increase in extract concentration corresponded with an enhanced inhibitory effect against Staphylococcus, although its effectiveness remained below that of the positive-control antibiotic. Further research is recommended, particularly involving selected postpartum mothers experiencing inflammation or mastitis.

Page 23 of 23 | Total Record : 226

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